Comparative Study of Surgical Site Infection between Laparoscopic Appendectomy and Open Appendectomy

Salim, Salim; Ahmed, Jashim Uddin; Bhuyian, Nur Hossain; Rahman, Mustafizur; Alam, Monirul; Khan, Muallem Al Farukh; Anwar, Khairul

doi:10.3329/medtoday.v29i1.33851

Cited by 3 publications

(2 citation statements)

References 12 publications

(24 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Since then, numerous studies have demonstrated that the laparoscopic method as the high success ratio and less rate of complications in the majority of instances with appendicitis. LA has less wound infection risk than OA 20 . Pre-operative intravenous antibiotics have been found to lower the incidence of post-operative SSIs, regardless of the surgical strategy adopted.…”

Section: Discussionmentioning

confidence: 95%

Comparison of Laparoscopic Appendectomy with Open Appendectomy with Respect to Surgical Site Infection

Khan¹,

Khattak²,

Jamil³

et al. 2022

PJMHS

View full text Add to dashboard Cite

Aim: The purpose of this study is to compare the incidence of wound infection in laparoscopic and open appendectomy. Study Design: A randomized, controlled study Place and Duration: In the Surgical department of Khalifa Gul Nawaz Medical Teaching Institute, Bannu and Ayub Teaching Hospital, Abbottabad for the duration from January 2021 to June 2021. Methods: In this study, 220 patients with the diagnosis of acute appendicitis were selected and divided randomly into two groups; OA group (open appendectomy) and LA group (laparoscopic) appendectomy. In both groups, the general anesthesia was given for appendectomy. The wound was examined on the 1st, 2nd and 3rd postoperative day, and then on the 7th and 14th day postoperatively and was scored conferring to the wound asepsis Score. The SSI and total wound asepsis score was calculated subsequently. Results: Total of 200 patients with acute appendicitis were selected. In laparoscopic appendectomy (LA); 22.0±7.85 years was the mean age and 24.12±9.08 years was the mean age in open appendectomy (OA) group. There were 70 men and 40 women in the LA group, and 50 men and 60 women in the OA group. The LA group has M:F ratio of 1.9: 1 in the and 1: 1.3 in the OA group. While 108 patients had no complications and surgical site infection were noticed in two patients only in the LA group, 98 patients in the OA group recovered and surgical site infection were seen in 12 patients. Conclusion: Laparoscopic appendectomy is a safer and better choice than open appendectomy which decreases postoperative complications significantly such as wound infections. Keywords: Open appendectomy, Laparoscopic appendectomy, Acute appendicitis and Surgical site infection.

show abstract

Section: Discussionmentioning

confidence: 95%

Comparison of Laparoscopic Appendectomy with Open Appendectomy with Respect to Surgical Site Infection

Khan¹,

Khattak²,

Jamil³

et al. 2022

PJMHS

View full text Add to dashboard Cite

show abstract

“…In a study on appendectomy wounds, Salim et al . [ 25 ] also reported the predominance of S. aureus. It is possible that the application of TCS in the fascia plane might have prevented the migration of enteric bacteria from deeper layers into the subcutaneous plane but did little in preventing S. aureus which is a skin commensal and is also found in the nares of health workers from colonising the wound from without.…”

Section: Discussionmentioning

confidence: 99%

Effect of fascia closure with triclosan-coated polydioxanone suture on surgical site infection in open appendectomy wounds: A comparative study

Aderounmu,

Olasehinde,

Wuraola

et al. 2024

J West Afr Coll Surg

View full text Add to dashboard Cite

Background: Interest in surgical site infections (SSI) has been sustained over the years because its occurrence may be ruinous to the overall success of surgical operations. The use of antimicrobial suture has been associated with a reduction in SSI, but its role in open appendectomy has not been evaluated. Objective: This study compared the effect of fascia closure with triclosan-coated polydioxanone (PDS) with plain PDS on SSI in appendectomy wounds. Materials and Methods: Ninety-three consecutive patients who had open appendectomy for uncomplicated acute appendicitis were randomised to either have fascia closure with triclosan-coated PDS (TCS) or plain PDS. Post-operative wound infection rates were compared. Results: SSI occurred in three of the 93 patients (3.2%), two of these occurred in the plain suture group, while one occurred in the TCS group (4.2% vs. 2.2%, P = 0.6). All three SSIs were superficial. Staphylococcus aureus was the predominant organism isolated in the infected wounds. Conclusion: The use of triclosan-coated polydioxanone for fascia closure in open appendectomy did not significantly affect the rate or severity of SSI. Further studies, perhaps evaluating the use of TCS in a different anatomical plane or complicated appendicitis are recommended.

show abstract

Open Versus Laparoscopic Appendectomy: A Comparison of Outcome in a Teaching Hospital, Northeast Nigeria

Mba,

Guduf,

Mshelia

et al. 2024

J West Afr Coll Surg

View full text Add to dashboard Cite

Background: Appendectomy could be open or laparoscopic. Laparoscopic appendectomy (LA) is gradually gaining ground in Nigeria, but its outcome is not entirely known. Objective: This study compared the outcomes of LA with those of open appendectomy (OA) in terms of the surgical site infection rate, post-operative pain, time to return of bowel sounds, length of hospital stay, return to normal activities and direct cost of treatment. Patients and Methods: This was a prospective randomised study. All patients above 18 years who were diagnosed with acute appendicitis in Federal Teaching Hospital, Gombe, were recruited after adequate counselling and consent obtained over the 18 months of the study. Results: Forty (40) patients were recruited with 20 on each arm. The average age was 25 years (±) 6 years and M:F was 1:1.9. The rates of surgical site infection and post-operative pain between both methods were not statistically different, while the time to return of bowel sound, the length of hospital stay and the return to normal activity were significantly reduced in LA compared to OA. However, OA was cheaper in terms of direct cost compared to LA. Conclusion: This study showed that LA may be the preferred method when a quicker recovery from treatment is anticipated, provided the patient can afford the direct cost of the procedure.

show abstract

Comparative Study of Surgical Site Infection between Laparoscopic Appendectomy and Open Appendectomy

Abstract: Surgical site infection (SSI) is defined as infection at surgical site within 01 month after surgery (or within a year in case of implant

Cited by 3 publications

References 12 publications

Comparison of Laparoscopic Appendectomy with Open Appendectomy with Respect to Surgical Site Infection

Comparison of Laparoscopic Appendectomy with Open Appendectomy with Respect to Surgical Site Infection

Effect of fascia closure with triclosan-coated polydioxanone suture on surgical site infection in open appendectomy wounds: A comparative study

Open Versus Laparoscopic Appendectomy: A Comparison of Outcome in a Teaching Hospital, Northeast Nigeria

Contact Info

Product

Resources

About